Individual
MS. ANN KENNEALLY PAHLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, LBSW
Contact information
Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Mailing address
905 MONTGOMERY ST, P.O. BOX 349, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
04472
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04472
LBSW
IA
Enumeration date
12/28/2006
Last updated
07/08/2007
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